SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Bloom Energy Corp [ BE ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 07/27/2018 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Class A Common Stock | 01/18/2019 | C | 1,423,663 | A | $0.00 | 1,423,663 | I | Mobius Technology Ventures VI, L.P.(3) | ||
Class A Common Stock | 01/18/2019 | C | 1,531,414 | A | $0.00 | 1,531,414 | I | SOFTBANK U.S. Ventures VI L.P.(4) | ||
Class A Common Stock | 01/18/2019 | C | 58,392 | A | $0.00 | 58,392 | I | Mobius Technology Ventures Side Fund VI L.P.(5) | ||
Class A Common Stock | 01/18/2019 | C | 55,624 | A | $0.00 | 55,624 | I | Mobius Technology Ventures Advisors Fund VI L.P.(6) | ||
Class A Common Stock | 01/22/2019 | S | 69,558 | D | $11.86(1) | 1,354,105 | I | Mobius Technology Ventures VI, L.P.(3) | ||
Class A Common Stock | 01/22/2019 | S | 74,603 | D | $11.86(1) | 1,456,811 | I | SOFTBANK U.S. Ventures VI L.P.(4) | ||
Class A Common Stock | 01/22/2019 | S | 2,845 | D | $11.86(1) | 55,547 | I | Mobius Technology Ventures Side Fund VI L.P.(5) | ||
Class A Common Stock | 01/22/2019 | S | 2,710 | D | $11.86(1) | 52,914 | I | Mobius Technology Ventures Advisors Fund VI L.P.(6) | ||
Class A Common Stock | 01/22/2019 | S | 46 | D | $12.42 | 1,354,059 | I | Mobius Technology Ventures VI, L.P.(3) | ||
Class A Common Stock | 01/22/2019 | S | 51 | D | $12.42 | 1,456,760 | I | SOFTBANK U.S. Ventures VI L.P.(4) | ||
Class A Common Stock | 01/22/2019 | S | 2 | D | $12.42 | 55,545 | I | Mobius Technology Ventures Side Fund VI L.P.(5) | ||
Class A Common Stock | 01/22/2019 | S | 1 | D | $12.42 | 52,913 | I | Mobius Technology Ventures Advisors Fund VI L.P.(6) | ||
Class A Common Stock | 01/23/2019 | S | 21,241 | D | $11.94(2) | 1,332,818 | I | Mobius Technology Ventures VI, L.P.(3) | ||
Class A Common Stock | 01/23/2019 | S | 22,782 | D | $11.94(2) | 1,433,978 | I | SOFTBANK U.S. Ventures VI L.P.(4) | ||
Class A Common Stock | 01/23/2019 | S | 869 | D | $11.94(2) | 54,676 | I | Mobius Technology Ventures Side Fund VI L.P.(5) | ||
Class A Common Stock | 01/23/2019 | S | 827 | D | $11.94(2) | 52,086 | I | Mobius Technology Ventures Advisors Fund VI L.P.(6) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series C Convertible Preferred Stock | (8) | 07/27/2018 | C | 1,358,073 | (8) | (8) | Class B Common Stock | 1,358,073 | $0.00 | 0 | I | By Mobius Technology Ventures VI, L.P.(3)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 1,358,073 | (9) | (9) | Class A Common Stock | 1,358,073 | $0.00 | 1,358,073 | I | By Mobius Technology Ventures VI, L.P.(3)(7) | |||
Series D Convertible Preferred Stock | (8) | 07/27/2018 | C | 28,812 | (8) | (8) | Class B Common Stock | 28,812 | $0.00 | 0 | I | By Mobius Technology Ventures VI, L.P.(3)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 28,812 | (9) | (9) | Class A Common Stock | 28,812 | $0.00 | 1,386,885 | I | By Mobius Technology Ventures VI, L.P.(3)(7) | |||
Series E Convertible Preferred Stock | (8) | 07/27/2018 | C | 36,778 | (8) | (8) | Class B Common Stock | 36,778 | $0.00 | 0 | I | By Mobius Technology Ventures VI, L.P.(3)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 36,778 | (9) | (9) | Class A Common Stock | 36,778 | $0.00 | 1,423,663 | I | By Mobius Technology Ventures VI, L.P.(3)(7) | |||
Series F Convertible Preferred Stock | (8) | 07/27/2018 | C | 4,180 | (8) | (8) | Class B Common Stock | 4,180 | $0.00 | 0 | I | By Mobius Technology Ventures VI, L.P.(3)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 4,180 | (9) | (9) | Class A Common Stock | 4,180 | $0.00 | 1,427,843 | I | By Mobius Technology Ventures VI, L.P.(3)(7) | |||
Series C Convertible Preferred Stock | (8) | 07/27/2018 | C | 1,456,582 | (8) | (8) | Class B Common Stock | 1,456,582 | $0.00 | 0 | I | By SOFTBANK U.S. Ventures VI L.P.(4)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 1,456,582 | (9) | (9) | Class A Common Stock | 1,456,582 | $0.00 | 1,456,582 | I | By SOFTBANK U.S. Ventures VI L.P.(4)(7) | |||
Series D Convertible Preferred Stock | (8) | 07/27/2018 | C | 30,902 | (8) | (8) | Class B Common Stock | 30,902 | $0.00 | 0 | I | By SOFTBANK U.S. Ventures VI L.P.(4)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 30,902 | (9) | (9) | Class A Common Stock | 30,902 | $0.00 | 1,487,484 | I | By SOFTBANK U.S. Ventures VI L.P.(4)(7) | |||
Series E Convertible Preferred Stock | (8) | 07/27/2018 | C | 39,446 | (8) | (8) | Class B Common Stock | 39,446 | $0.00 | 0 | I | By SOFTBANK U.S. Ventures VI L.P.(4)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 39,446 | (9) | (9) | Class A Common Stock | 39,446 | $0.00 | 1,526,930 | I | By SOFTBANK U.S. Ventures VI L.P.(4)(7) | |||
Series F Convertible Preferred Stock | (8) | 07/27/2018 | C | 4,484 | (8) | (8) | Class B Common Stock | 4,484 | $0.00 | 0 | I | By SOFTBANK U.S. Ventures VI L.P.(4)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 4,484 | (9) | (9) | Class A Common Stock | 4,484 | $0.00 | 1,531,414 | I | By SOFTBANK U.S. Ventures VI L.P.(4)(7) | |||
Series C Convertible Preferred Stock | (8) | 07/27/2018 | C | 55,540 | (8) | (8) | Class B Common Stock | 55,540 | $0.00 | 0 | I | By Mobius Technology Ventures Side Fund VI L.P.(5)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 55,540 | (9) | (9) | Class A Common Stock | 55,540 | $0.00 | 55,540 | I | By Mobius Technology Ventures Side Fund VI L.P.(5)(7) | |||
Series D Convertible Preferred Stock | (8) | 07/27/2018 | C | 1,178 | (8) | (8) | Class B Common Stock | 1,178 | $0.00 | 0 | I | By Mobius Technology Ventures Side Fund VI L.P.(5)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 1,178 | (9) | (9) | Class A Common Stock | 1,178 | $0.00 | 56,718 | I | By Mobius Technology Ventures Side Fund VI L.P.(5)(7) | |||
Series E Convertible Preferred Stock | (8) | 07/27/2018 | C | 1,504 | (8) | (8) | Class B Common Stock | 1,504 | $0.00 | 0 | I | By Mobius Technology Ventures Side Fund VI L.P.(5)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 1,504 | (9) | (9) | Class A Common Stock | 1,504 | $0.00 | 58,222 | I | By Mobius Technology Ventures Side Fund VI L.P.(5)(7) | |||
Series F Convertible Preferred Stock | (8) | 07/27/2018 | C | 170 | (8) | (8) | Class B Common Stock | 170 | $0.00 | 0 | I | By Mobius Technology Ventures Side Fund VI L.P.(5)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 170 | (9) | (9) | Class A Common Stock | 170 | $0.00 | 58,392 | I | By Mobius Technology Ventures Side Fund VI L.P.(5)(7) | |||
Series C Convertible Preferred Stock | (8) | 07/27/2018 | C | 52,908 | (8) | (8) | Class B Common Stock | 52,908 | $0.00 | 0 | I | By Mobius Technology Ventures Advisors Fund VI L.P.(6)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 52,908 | (9) | (9) | Class A Common Stock | 52,908 | $0.00 | 52,908 | I | By Mobius Technology Ventures Advisors Fund VI L.P.(6)(7) | |||
Series D Convertible Preferred Stock | (8) | 07/27/2018 | C | 1,122 | (8) | (8) | Class B Common Stock | 1,122 | $0.00 | 0 | I | By Mobius Technology Ventures Advisors Fund VI L.P.(6)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 1,122 | (9) | (9) | Class A Common Stock | 1,122 | $0.00 | 54,030 | I | By Mobius Technology Ventures Advisors Fund VI L.P.(6)(7) | |||
Series E Convertible Preferred Stock | (8) | 07/27/2018 | C | 1,432 | (8) | (8) | Class B Common Stock | 1,432 | $0.00 | 0 | I | By Mobius Technology Ventures Advisors Fund VI L.P.(6)(7) | |||
Class B Common Stock | (9) | 07/27/2018 | C | 1,432 | (9) | (9) | Class A Common Stock | 1,432 | $0.00 | 55,462 | I | By Mobius Technology Ventures Advisors Fund VI L.P(6)(7) |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. Price reflected is the weighted-average sale price for shares sold. The range of sale prices for the transactions reported was $11.40 to $12.39 per share. Each Reporting Person undertakes to provide, upon request by the SEC staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price. |
2. Price reflected is the weighted-average sale price for shares sold. The range of sale prices for the transactions reported was $11.82 - $12.08 per share. Each Reporting Person undertakes to provide, upon request by the SEC staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price. |
3. The securities are held by Mobius Technology Ventures VI, L.P. ("Mobius Technology VI"). |
4. The securities are held by SOFTBANK U.S. Ventures VI, L.P. ("Softbank"). |
5. The securities are held by Mobius Technology Ventures Side Fund VI, L.P. ("Mobius Side Fund"). |
6. The securities are held by Mobius Technology Ventures Advisors Fund VI, L.P. ("Mobius Advisors Fund"). |
7. Mobius VI LLC ("Mobius VI") is the General Partner of Mobius Technology VI, Softbank, Mobius Side Fund and Mobius Advisors Fund (collectively, the "Mobius Funds"). Mobius VI may be deemed to indirectly beneficially own the securities owned by the Mobius Funds. Bradley A. Feld and Jason A. Mendelson are Managing Directors of Mobius VI and each share voting and dispositive power over the securities held by Mobius Funds. Each reporting person disclaims beneficial ownership of these securities except to the extent of his or its respective pecuniary interest therein. |
8. Each share of Series C Convertible Preferred Stock, Series D Convertible Preferred Stock and Series E Convertible Preferred Stock and Series F Convertible Preferred Stock automatically converted into the Issuer's Class B Common Stock, on a 1 for 1 basis, immediately prior to the Closing of the Issuer's initial public offering on July 27, 2018 ("IPO") and had no expiration date. |
9. The Class B Common Stock is convertible into the Issuer's Class A Common Stock on a 1-for-1 basis at the holder's option or upon any transfer except for certain permitted transfers. All the outstanding shares of Class B common stock will convert automatically into shares of Class A common stock upon the date that is the earliest to occur of (i) immediately prior to the close of business on the fifth anniversary of July 27, 2018, (ii) immediately prior to the close of business on the date on which the outstanding shares of Class B common stock represent less than five percent (5%) of the aggregate number of shares of Class A common stock and Class B common stock then outstanding, (iii) the date and time, or the occurrence of an event, specified in a written conversion election delivered by KR Sridhar to the Issuer's Secretary or Chairman of the Board to so convert all shares of Class B common stock, or (iv) immediately following the date of the death of KR Sridhar. |
Remarks: |
Form 1 of 2. |
Mobius VI LLC, /s/ Jason A. Mendelson | 01/23/2019 | |
Mobius Technology Ventures Advisors Fund VI L.P., By: Mobius VI LLC, its General Partner, /s/ Jason A. Mendelson | 01/23/2019 | |
Mobius Technology Ventures Side Fund VI L.P., By: Mobius VI LLC, its General Partner, /s/ Jason A. Mendelson | 01/23/2019 | |
Mobius Technology Ventures VI, L.P., By: Mobius VI LLC, its General Partner, /s/ Jason A. Mendelson | 01/23/2019 | |
SOFTBANK U.S. Ventures VI L.P., By: Mobius VI LLC, its General Partner, /s/ Jason A. Mendelson | 01/23/2019 | |
/s/ Bradley A. Feld, Bradley A. Feld | 01/23/2019 | |
/s/ Jason A. Mendelson, Jason A. Mendelson | 01/23/2019 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |